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Customer Service Insurance

Location:
Virginia Beach, VA, 23462
Posted:
October 19, 2010

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Resume:

Caitlin Lewis

**** ******* ***** **

Virginia Beach VA 23462

518-***-****

abiztk@r.postjobfree.com

____________________________________________________________________________

________________________________________________________

Objective:

To obtain position with a challenging company that offers me the

possibility of professional growth and career advancement opportunities.

Qualifications:

. Knowledge of CPT and ICD9 coding .

. Proficient in Medical Insurance Billing and, Medical Terminology.

. Hardworking, motivated, energetic, dedicated, and professional

individual able to serve clients in a conscientious and pleasant

manner.

. Outstanding oral and written communication skills.

. Extensive knowledge of principles and processes for providing

customer service, including customer needs assessment, meeting

quality standards for service, and evaluation of customer

satisfaction.

. Wide knowledge of principles and methods for showing, promoting,

and selling products or services, marketing strategy and tactics,

product demonstration, and sales techniques.

. Strong communication and interpersonal skills and abilities

Education:

American Intercontinental University

2009-2010

Studying for Medical Billing

Online University

Tidewater Community College

2006- 2007

Virginia Beach, VA 23462

Saratoga High School 2000-2004

Saratoga Springs NY 12866

Graduated with high honors and New York Regents Diploma

Experience:

May 10-Aug 10

Malta NY 12866

Gentiva Healthcare

Reimbursement Specialist

. Contact insurance companies to gather policy benefits/limitations

(e.g., deductible amount, co-payment, effective date, pre-existing

clauses, levels of care, pre-authorization requirement etc.)

. Monitor acceptance of new customer accounts for direct insurance

billing. Analyzes services to be provided by insurance companies

against medical criteria that must be met to obtain insurance

reimbursement.

. Review benefits/services requested to determine whether coverage is

available for insurance payment. Input data regarding insurance

company requirements for claims processing, correct billing address,

special claim forms, etc. Contact branch staff if no coverage is

available for requested services.

. Maintain/update information on insurance accounts. Determine primary

payer and coordinates multiple billings for clients with multiple

providers. Keep detailed/accurate records to ensure proper account

billing instructions.

January 10-May 10

Saratoga Hospital

Saratoga Springs,NY

Medical Billing Specialist/Posting Specialist

. Responsible for all Medicare claims for the hospital.

. Obtaining proper information for filing claims and following Medicare

guidelines .

. Posting Medicare payments, write offs and adjustments.

. Maintaining accurate reports and AR.

January 08-December 09

Atlantic Orthopaedic Specialist

Virginia Beach,VA

Authorization Specialist

. Responsible for validation of patient eligibility, benefits, and

authorization.

. Obtain referrals from primary care physicians for patients.

. Track treatment for all workers compensation patients and report

back to adjusters and nurse

case managers. .

. Daily comparison of physical therapy notes to HFCA's to ensure

documentation is in accordance with therapist's charges.

. Act as a liaison between case managers and adjusters for the

physical therapy department.

. Complete understanding on CPT codes,medical terminology,treatment

plans,ROM,EOB'S, managing AR etc.

Front Desk Receptionist

. Check patients in and out.

. Daily preparation of charts for therapist.

. Register all new patients for physical therapy as well as submit

their demographic information to obtain verification.

. Schedule new patient and follow-up physical therapy patients.

. Scan and index all physical therapy documentation.

. Monitor physical therapy patient attendance and call patients to

ensure they are complaint with the physicians order.

. Answer phones and help patient schedule appointments.

December 05- September 07

Darden Restaurants

Virginia Beach, VA

Server Trainer

. Training new employees in service procedures and sales of product

line.

. Participating in Manager meetings and giving valid opinions.

. Giving the future employees all the knowledge they needed to be

successful.

. Giving the employees proper knowledge of wine and wine paring .

Server

. Explain how various menu items are prepared, describing

ingredients and cooking methods.

. Present menus to patrons and answer questions about menu items,

making recommendations upon request.

. Serve food and/or beverages to patrons; prepare and serve

specialty dishes at tables as required.

. Ensured all supplies were available in work area.

. Ensured every guest was satisfied with their experience and wanted

to come back.

Aug 05-Dec 05

Great Atlantic Management

Virginia Beach, VA

Leasing Consultant

. Responsibilities consist of greeting prospective, marketing

outside clients and converting them into future prospects.

. Respond to internet leads; complete all lease paper work while

complying with Federal and Local Fair Housing regulation and

ordinances.

. Answering incoming calls and handling them accordingly, whether

it is a prospect call, irate resident, service request, etc.

. Retrieve guest card information on all prospects, send thank-

you notes and perform follow ups.

. Physically inspecting the property when on grounds and

reporting any service needs to the maintenance staff.

. Maintained a friendly yet professional atmosphere in the

leasing office and other common areas.

Sep 03- July 05

Professor Moriarty's

Saratoga Springs, NY

Hostess/Server

. Responsible for seating severs at a timely manner.

. Making the guest feel welcome as soon as they walk through the

door.

. Resetting tables and cleaning off dirty dishes.

. Ensured all supplies were available in work area as well as keeping

look out for other servers and what they might need.

. Handle up to 20 tables or more tables on my own.

. Ensured every guest was satisfied with their experience and wanted

to come back.

References Available Upon Request



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